MRS. KRISTIN A. ANDERSON-CRONIN BSN MSN PMHNP-BC NPI 1558650705

NPI Information

NPI: 1558650705
Provider Name: MRS. KRISTIN A. ANDERSON-CRONIN, BSN, MSN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2060 CAMPUS DR
YREKA, CA
ZIP 96097
Phone: (530) 841-4100
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MRS. Kristin A. Anderson-cronin, BSN, MSN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Yreka, CA. MRS. Kristin A. Anderson-cronin, BSN, MSN, PMHNP-BC NPI is 1558650705. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2060 CAMPUS DR
YREKA, CA
ZIP 96097-538
Phone: (530) 841-4100

The NPI 1558650705 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2011 and was last updated on 8/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5424-33	WISCONSIN	Yes
2	163W00000X	Registered Nurse		170979-030	WISCONSIN	No
3	163WP0808X	Registered Nurse	Psychiatric/Mental Health	5424-33	WISCONSIN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1558650705	MEDICAID	WISCONSIN
2	000001545	OTHER	WISCONSIN	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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